| NPI | 1326158569 |
|---|---|
| Doing Business As | MOUNTAINVIEW OB GYN |
| Entity Type | Organization |
| Authorized Contact | TIFFANY S BOUDREAU Office Manager 702-242-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |